NPI | 1417453440 |
---|---|
Doing Business As | BALLAD HEALTH MEDICAL ASSOCIATES |
Entity Type | Organization |
Authorized Contact | CARL KILGORE President 423-302-3051 |
Organization Subpart ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery |
Additional Taxonomies | 363A00000X Physician Assistant |
363AS0400X Physician Assistant Surgical | |
363LA2200X Nurse Practitioner Adult Health | |
363LF0000X Nurse Practitioner Family | |
Enumeration Date | 2018-03-30 |
Last Update Date | 2019-03-29 |